This is a puzzle game in which players battle others by lining up blocks and matching small creatures called Puyos. Players earn points and progress through battles by clearing their areas of blocks/lines, and Puyos. When players create lines and matches of Puyos, short animations depict opponents being conked on the head by falling objects and emitting short yelps. The game includes some suggestive material and innuendo in the dialogue (e.g., "Finally, you and I are going to score together!...Um...you mean we're gonna rack up SCORES...battling?"; "I prefer you to scream my name when we're together"; "[H]e and I are definitely not sleeping together.").